Mitchell Lawrence Jacobson - Jun 7, 2021 Form 4 Insider Report for Juniper Industrial Holdings, Inc. (JIH)

Role
Director
Signature
/s/ Brian Cook as Attorney-in-Fact of Mitchell Jacobson
Stock symbol
JIH
Transactions as of
Jun 7, 2021
Transactions value $
$0
Form type
4
Date filed
6/9/2021, 08:30 PM
Next filing
Nov 3, 2021

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction JIH Class B Common Stock Conversion of derivative security -35K -100% 0 Jun 7, 2021 Class A Common Stock 35K Direct F1, F2, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Mitchell Lawrence Jacobson is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 As described in the issuer's registration statement on Form S-1 (File No. 333-234264) under the heading "Description of Securities-Founder Shares", the shares of Class B common stock, par value $0.0001 per share, automatically convert into shares of Class A common stock, par value $0.0001 per share, of the issuer at the time of the issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to adjustment for stock splits, stock dividends, reorganizations, recapitalizations and the like, and certain anti-dilution rights and have no expiration date.
F2 (Continued from Footnote 1) On June 7, 2021, the issuer consummated its initial business combination (the "Business Combination") with Janus International Group, LLC, a Delaware limited liability corporation. In connection with the Business Combination, each share of Class B Stock converted into Class A Stock.
F3 In connection with the Business Combination, the Reporting Person exchanged his Class A Shares for 35,000 fully paid and non-assessable shares of common stock, par value U.S. $0.0001 per share, of Janus International Group, Inc. ("Janus Common Stock").